Client Advocate – Employee Benefits

Client Advocate – Employee Benefits

Requirements

• High School / GED
• 1-2 years healthcare claims processing, or benefits administration preferred

Responsibilities

• Presents a knowledgeable, professional, and helpful image on behalf of the company.
• Handles inbound calls on a queue system.
• Assists clients and employees with various claims and benefit issues.
• Respond to all phone calls and inquiries no later than 24 hours after receipt.
• Provides timely resolution of issues.
• Communicates with employers, employees, and medical providers to resolve benefit issues.
• Helps educate client employees on how to maximize their plan benefits.
• Documents all activities to ensure accurate reporting of eligibility and plan issues.
• Handles other duties and tasks as deemed appropriate by the Supervisor or Manager.

Preferred Qualifications

• Ability to effectively and professionally communicate orally and in writing with internal and external customers.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
• Computer skills: proficiency with Microsoft Office Suite and Outlook.
• Desire to learn and grow within the insurance industry.
• Ability to respond to customer needs, solicit customer feedback to improve service, and handle difficult or emotional customer situations promptly and accurately.
• Confidence and demeanor to effectively interact with all levels within the organization.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages.
• Ability to efficiently gather pertinent information and facts, analyze and solve problems timely and thoroughly.
• Ability to prioritize and organize multiple tasks and responsibilities in order to complete assignments on time and with optimal accuracy.